Cosmetic Rhinoplasty Procedures: Ethnic Rhinoplasty

Cosmetic Rhinoplasty Procedures: Ethnic Rhinoplasty | Beverly Hills Certain aesthetic features are specific to a particular ethnicity. Every member of a specific race does not share these characteristics. However, at times, people who share these ethnic features choose to undergo plastic surgery to modify these characteristics.

Rhinoplasty is a popular treatment among patients whose race-related characteristics include a broad nose. People with Asian and African heritage usually consider nose reshaping surgery to reduce the wide appearance of their nostrils.

The Big Picture

It is vital that the surgeon follows a customized surgical approach to address the unique anatomical and aesthetic needs of ethnic noses. They should not modify the nasal appearance to a point where it entirely changes an individual’s appearance.

Board certified plastic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities.

Enhancing the Appearance of the Nose in Ethnic Patients

In ethnic rhinoplasty, the nose surgeon surgically modifies the nose to create a shape that is more harmonious and proportionate to the other facial features of the patient without altering their appearance in a drastic manner.

Rhinoplasty on Asian, African American, and Hispanic patients should take into account the different internal and external characteristics of the ethnic nose.

An experienced and skilled ethnic nose surgeon will determine whether the nose requires major changes to the internal structures to improve its external appearance and attain an aesthetically desirable appearance.

The ethnic nose requires special attention due to its distinct characteristics. For instance, African American, Asian, and Hispanic patients usually have rounder, fuller, and less protruding nasal tips.

These patients may be seeking to lengthen and refine the nose tip to enable it to appear narrower and taller. In addition, ethnic rhinoplasty can also modify excessively wide or flared nostrils.

Ethnic Rhinoplasty Techniques

Ethnic rhinoplasty involves the plastic surgeon using specialized techniques such as modifying the cartilage and bone shape inside the nose, making the nostrils narrower or sourcing cartilage from other regions of the body for grafting to develop a longer nasal tip.

Some surgeons choose to use synthetic implants due to their ease of placement. But in some cases, they can only use the patient’s own cartilage for safe and predictable outcomes. This also reduces the risk of complications, and migration or extrusion typically associated with synthetic implants.

Patients from Middle Eastern ethnicity often choose nose reshaping surgery to reduce the nasal hump, refine the nose tip, and attain a nose shape that is more proportional to other facial characteristics.

Candidates of African American descent seek nose surgery to refine a wide nose bridge, narrow wide nostrils, and develop a weak nose tip by using a cartilage graft sourced from another area of the body.

Hispanic patients may consider rhinoplasty to reduce the size of a very prominent nose bridge. On the other hand, they may require a stronger facial profile which can be achieved by augmenting a very flat nose. The cosmetic surgeon will refine a full or thick nasal tip to restore the focus on the other facial features of the patient.

Conservative Approach

It is important for the surgeon to develop a conservative surgical plan for ethnic rhinoplasty patients. This procedure should preserve the features that give an individual their uniqueness and distinctiveness and not comprise ethnic legacy. Ethnic rhinoplasty should only subtly enhance the natural beauty of the patient.

Cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for rhinoplasty.

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Cosmetic Rhinoplasty Procedures: Alar Adjustment

Cosmetic Rhinoplasty Procedures: Alar Adjustment | Beverly Hills Nose alar adjustment is a plastic surgery procedure to reshape wide or flared nostrils. The outer edges of the nostrils are known as alar.

Alar adjustment is typically undertaken in combination with nose width reduction. In this procedure, the surgeon removes a portion of the tissue to adjust the level of tension causing the undesirable flair in the nostrils.

Board certified plastic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

What is Alarplasty?

Alar base reduction or nostril width surgery is a relatively minor surgical procedure. It often forms a part of facial plastic surgery to adjust the size of the nostrils which may not be proportional to the nasal tip and position of the eyes. This procedure can effectively alter the appearance of the nose and refine the nasal structure to create a more harmonious facial look.

Alarplasty is a surgery that focuses exclusively on the alar. This refers to the region of the nose where the nostrils are rounded. It covers the nose tip area to the region where the nose connects to the nasolabial folds and cheeks.

Different Techniques

Alar adjustment can be undertaken through various surgical techniques in rhinoplasty procedures. The surgeon will individualize the procedure depending on the unique needs of the patient.

For instance, the Weir technique is a specific alar adjustment procedure involving a particular incision type. The surgeon eliminates tissue to create a wedge-like cavity. They will then suture it to create the desired contours.

Suitable Alarplasty Candidates

Alarplasty is a suitable procedure for people who are unhappy with the shape and contour of their nose. Ideal candidates should be in good overall health and not have any medical conditions that could compromise their safety during facial surgery.

Patients must have reasonable expectations from the outcomes of the alarplasty procedure. They should be cognizant of the risks and benefits of nose reshaping surgery and alarplasty. These factors contribute to higher levels of patient satisfaction and more complete outcomes.

Alarplasty Procedure

The surgeon will perform the alarplasty with the patient under local anesthesia. They will carefully place incision, often within the nostrils. The surgeon will excise surplus tissue through these incisions to reshape and modify the size of the alars. Subsequently, they will use sutures to make the nostrils narrower.

Results of Alarplasty

Alarplasty can offer patients very effective results by creating a less prominent nostril appearance. Furthermore, patients tend to recover more quickly and comfortably from this procedure as alarplasty does not usually involve any contact with the nasal bone and cartilage.

Is Alarplasty Appropriate for You?

It is important for patients considering alarplasty to consult a qualified and experienced plastic surgeon. The nose surgeon will assess the patient’s nasal anatomy and appearance and offer recommendations on achieving their aesthetic goals. This will enable the patient to make an enlightened choice.

Cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for rhinoplasty.

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Cosmetic Rhinoplasty Procedures: Width Reduction

Cosmetic Rhinoplasty Procedures: Width Reduction | Beverly Hills When viewed from underneath, the tip of the nose and the nostril appear as a triangle, which is called the pyriform aperture. In order to reduce the nose width, a surgeon will modify the pyriform aperture.

They can effectively reduce the nose width by making the angles of this triangle steeper at the juncture where the nostrils connect to the face.

Board certified plastic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding communities.

What is Nasal Base Reduction?

A nasal base reduction is a rhinoplasty technique that enables the surgeon to make the nose base narrower in cases where it is too broad for the face structure. Nasal base reduction in some form is a standard part of revision rhinoplasty and rhinoplasty procedures.

The reduction of the nasal base is even more common in ethnic rhinoplasty procedures. Nose reshaping surgeries on African American, Asian, and Middle Eastern noses often involve nasal base reduction as these ethnicities tend to have a wider nose base.

Most patients seeking rhinoplasty complain that their nose appears excessively wide or large at the base. The base is typically measured from one nostril’s outer margin to the outer margin of the other nostril.

Ideally, the width of the nasal base should not be more than the distance between the two eyes. If there was an imaginary vertical line running down from the corner of the eye (inner canthus) on either side, the nose base should lie between these two lines.

However, it is vital to understand that this is the aesthetic ideal for a Caucasian nose. In the case of ethnic noses, this measurement may not be appropriate. Many ethnic rhinoplasty candidates will be able to attain more natural looking results if the nasal base is slightly wider than this measurement.

Anatomy Involved in Nasal Base Reduction

The surgeon must have in-depth knowledge of the nasal base anatomy to develop an appropriate surgical plan for individual nose surgery patients.

The columella is a column-like structure located in the middle of the nasal base. It bifurcates the nostrils into left and right portions. The alar base insertion refers to the portion of the nostril side wall that inserts into the junction of the upper lip and cheek. The nasal sill region is the area between the columella and the alar base insertion point.

A Wide Sill Area

Some nose surgery patients have a broad nasal base along with an excessively wide sill area that adds extra width to the nose. If the sill area is very wide, it could lead to a more horizontal type of nostril shape. This is commonly seen in patients with a wide nasal sill.

Cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for rhinoplasty.

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Cosmetic Rhinoplasty Procedures: Nasolabial Angle Adjustment

Rhinoplasty Procedures: Nasolabial Angle Adjustment | Beverly Hills Two lines make up the nasolabial angle as part of the nose anatomy. The first line extends from the nasal tip to the area above the upper lip.

The second one runs from the upper lip to the nose base, where the nostrils bifurcate. The nose tip rotation and nose projection can affect the degree of this angle.

In a majority of cases, the surgeon will try to create a 90 to 95-degree nasolabial angle in men and a 100 to 105-degree angle in women. They can refine this angle through a combination of various rotation adjustment and projection techniques.

Board certified plastic surgeon Dr. Gary Motykie provides rhinoplasty to patients in Beverly Hills, West Hollywood, Los Angeles, and surrounding locations.

Correcting Nose to Lip Angle and Bulbous Tip

To correct a bulbous nose tip, the surgeon may use a full delivery technique. This involves suturing the dome to the lower later cartilages while adding a cartilaginous strut graft for support, if necessary.

The surgeon can also correct wide and flared nostrils through alar-based reduction. Any type of acute angle to the lip can be corrected by raising the tip and reducing the caudal membranous and cartilaginous septum.

Other techniques to correct this condition involve reducing the anterior septal angle to allow upward tip rotation as well as techniques that change the tip itself or the tripod of the nose and provide length to the medial crus or columella to enable it to project upwards and rotate.

The surgeon may choose to shorten the gull wing or lateral aspect of the nose tip cartilages. They can use these approaches in combination to narrow the nasal tip and improve the columellar labial angle (CLA) at the same time. Finally, the surgeon can undertake the alar base excision along with a rhinoplasty and make the nose base narrower for width reduction.

Various techniques are available to correct the angle between the lip and the columella such as Caudal extension grafts and plumping grafts which can effectively project the nasolabial angle.

Creating proper tip rotation is a standard feature of rhinoplasty procedures. It is often used along with developing better nasal tip definition. But thicker skin causes limitation in creating better definition.

The surgeon may trim the septum at the anterior angle. However, the surgeon can recommend this specific technique to the patient only after an examination of the nose.

Lifting a Drooping Nose Tip

The nasal tip is often droopy in patients who have thick skin and heavy noses. Various techniques can effectively elevate the nose tip. The surgeon can reduce the length of the septum. But most heavy noses require extra tip support. The surgeon can use cartilage grafts to provide support to the nose tip as well as push it upwards.

The nasal septum is the ideal source of graft material if the patient has not undergone rhinoplasty in the past. The surgeon can also make the tip cartilages narrower. For patients with very thick skin that requires more support, the surgeon will typically use a graft comprising the patient’s own cartilage, called an extended shield graft.

Cosmetic surgeon Dr. Gary Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and nearby areas for rhinoplasty.

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To see more services and treatments provided by Board Certified Plastic Surgeon, Dr. Motykie in Beverly Hills | Los Angeles | West Hollywood and his team please visit: